| NPI | 1164786638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R8232) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102204935) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-11-01 |